PSHFE Membership Application
Associate membership - $200
Voting membership $60 - must work for a healthcare providing facility that operates in Pennsylvania
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Title
(Required.)
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4.
Organization Name
(Required.)
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5.
Street Address
(Required.)
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6.
City
(Required.)
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7.
State
(Required.)
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8.
Zip Code
(Required.)
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9.
Phone Number
(Required.)
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10.
Email Address
(Required.)
11.
Secondary Contact Email Address Option (Associate members only)
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12.
Are you currently a member of ASHE (American Society for Health Care Engineering)?
(Required.)
Yes
No
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13.
Dues payment preference (note: your membership will not be processed until payment is received)
(Required.)
I will pay via credit card through the PSHFE home page using the 'Make a Payment' button
I will mail a check/money order to P.O. Box 212, Middletown, PA 17057 (be sure to include your name on the payment)
I have heard about your complimentary membership offer valid through 4/18/24 and would like to take advantage of that. (Must be new to PSHFE and be eligible for voting membership (must work for a health care provider within the state of Pennsylvania)).
